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1417386830
CRYSTAL CLEVENGER
COLUMBIA, SC
NPI
1417386830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
-- CRYSTAL CLEVENGER
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9300
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Mailing Address
-- CRYSTAL CLEVENGER
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number:
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